Male Menopause

Q:  I've been reading about something called "male menopause." I thought menopause was something that only women experienced. Can you provide any information?

A:   Menopause in women is due to a relatively abrupt drop in the production of estrogen caused by what seems to be a pre-programmed shut down of the ovaries. The term "male menopause" is a bit inaccurate as testosterone production does not cease, but may begin to decline in the 30's.

Symptoms of male menopause are thought to be fatigue, muscle aches, stiff joints, a rise in cholesterol with an associated increase in heart disease, a decrease in bone and muscle density, and impotence. Some men may feel as though they are emotionally more fragile and may experience problems with depression.

There is no test for the diagnosis of male menopause, although testosterone levels can be followed for evidence of decline. Yet, for most, this decline will occur in the context of what are still defined as normal levels.

There are several studies in progress that will hopefully shed more light on the diagnosis and treatment should this truly be a definable syndrome. The most likely initial treatment will be some form of testosterone supplementation, which is not as easy to do as it may first appear. Doses that are too large may actually put one at risk for heart disease and prostate cancer.

In the meantime, make every effort to stay physically and emotionally fit through exercise, diet and vitamin supplementation. Remember as well that impotence can also be a sign of cardiovascular disease and not just a sign of diminished sexual drive.

"Your Health" provides easy-to-understand information about common health conditions.